MEDICARE: GEORGETOWN UNIVERSITY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QX0200X	Oncology Clinic/Center	RN34690	DC

General Provider Information

NPI Number	:	1023179124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGETOWN UNIVERSITY HOSPITAL

Provider Business Mailing Address
First Line	:	3123 7TH ST S
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-2407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3123 7TH STREET SOUTH
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-2407
Country	:	US
Telephone Number	:	703-271-9454
Fax Number	:

Authorized Official
Title or Position	:	HEMOPHILIA RESEARCH COORDINATOR
Name	:	MS. CAROLYN KAY FRANCISC
Credential	:	RN, CNP, MS
Telephone Number	:	202-687-0117

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	08/22/2020

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Directions to “GEORGETOWN UNIVERSITY HOSPITAL ” Practice Location

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